UKHSA Health Protection Briefing Note 2026/001: Infant Formula and Follow-On Formula recall due to possible cereulide toxin contamination

PLEASE NOTE: This is an additional note from last week’s cascade and is specifically for clinicians who may be faced with patients who have consumed the product.

Dear all,

UK Health Security Agency (UKHSA) has been notified of the Food Standard Agency’s public product recall alert of Nestlé SMA (Synthetic Milk adaption) Infant Formula and Follow-On Formula, following Nestlé’s precautionary measure because of possible presence of cereulide, an emetic toxin, produced by some strains of Bacillus cereus.

The purpose of this communication is to ensure healthcare professionals are alert to the possibility of cases and are aware of the national level investigation and its association with certain SMA products.  

The attached letter explains possible clinical presentation, management of possible cases and recommendations.